September 1991

The Clinic Attending: Teaching Strategies for Patient Encounters

Am J Dis Child. 1991;145(9):977-978. doi:10.1001/archpedi.1991.02160090029015

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Most of us in academic general pediatrics use continuity clinics, walk-in clinics, or emergency departments as our teaching turf. When I am working in these settings, my overriding goal is ensuring qual ity of care for all patients. My main educational goal is teaching residents how to think better about patient care. Knowing that we cannot teach everything in 3 years, I try to help residents approach problems in an organized and logical way that will provide a foundation for inde pendent decision making. Here are some guidelines that help me fulfill my teaching responsibilities:

1. Treat residents as adult learners: Keep the learning environment respectful and nonthreatening. Chal lenge residents' thinking without challenging their status or selfesteem. Question learners to help themselves, not to reveal their un certainties. Do not compete with residents, for they are the learners. Be open to disagreement. Never retaliate

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